CN117835929A - 用于心律紊乱的治疗的具有感测和消融导管的治疗系统 - Google Patents
用于心律紊乱的治疗的具有感测和消融导管的治疗系统 Download PDFInfo
- Publication number
- CN117835929A CN117835929A CN202280055549.3A CN202280055549A CN117835929A CN 117835929 A CN117835929 A CN 117835929A CN 202280055549 A CN202280055549 A CN 202280055549A CN 117835929 A CN117835929 A CN 117835929A
- Authority
- CN
- China
- Prior art keywords
- catheter
- ablation
- electrodes
- electrode array
- treatment device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000002679 ablation Methods 0.000 title claims abstract description 323
- 238000011282 treatment Methods 0.000 title claims description 309
- 230000033764 rhythmic process Effects 0.000 title claims description 99
- 238000000034 method Methods 0.000 claims abstract description 218
- 230000002262 irrigation Effects 0.000 claims abstract description 150
- 238000003973 irrigation Methods 0.000 claims abstract description 150
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 127
- 238000002560 therapeutic procedure Methods 0.000 claims abstract description 78
- 239000012530 fluid Substances 0.000 claims abstract description 56
- 238000012384 transportation and delivery Methods 0.000 claims abstract description 42
- 238000010317 ablation therapy Methods 0.000 claims abstract description 23
- 230000000694 effects Effects 0.000 claims abstract description 23
- 238000005381 potential energy Methods 0.000 claims abstract description 18
- 230000001225 therapeutic effect Effects 0.000 claims abstract description 14
- 239000008280 blood Substances 0.000 claims abstract description 6
- 210000004369 blood Anatomy 0.000 claims abstract description 6
- 230000000747 cardiac effect Effects 0.000 claims description 205
- 210000001519 tissue Anatomy 0.000 claims description 94
- 210000005003 heart tissue Anatomy 0.000 claims description 42
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 38
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 claims description 38
- 230000033001 locomotion Effects 0.000 claims description 36
- 238000013461 design Methods 0.000 claims description 30
- 239000000463 material Substances 0.000 claims description 27
- 230000004044 response Effects 0.000 claims description 27
- 229940030602 cardiac therapy drug Drugs 0.000 claims description 21
- 230000007704 transition Effects 0.000 claims description 20
- 210000000056 organ Anatomy 0.000 claims description 15
- 206010003119 arrhythmia Diseases 0.000 claims description 12
- 230000006793 arrhythmia Effects 0.000 claims description 12
- 238000001914 filtration Methods 0.000 claims description 12
- 238000003780 insertion Methods 0.000 claims description 10
- 230000037431 insertion Effects 0.000 claims description 10
- 229910052751 metal Inorganic materials 0.000 claims description 9
- 239000002184 metal Substances 0.000 claims description 9
- 239000004020 conductor Substances 0.000 claims description 8
- 238000005452 bending Methods 0.000 claims description 6
- 238000012546 transfer Methods 0.000 claims description 6
- 239000000872 buffer Substances 0.000 claims description 5
- 239000011248 coating agent Substances 0.000 claims description 5
- 238000000576 coating method Methods 0.000 claims description 5
- 230000015271 coagulation Effects 0.000 claims description 2
- 238000005345 coagulation Methods 0.000 claims description 2
- 230000001419 dependent effect Effects 0.000 claims description 2
- 239000013013 elastic material Substances 0.000 claims description 2
- 230000009467 reduction Effects 0.000 claims description 2
- 230000008602 contraction Effects 0.000 abstract description 7
- 238000013021 overheating Methods 0.000 abstract description 3
- 206010053567 Coagulopathies Diseases 0.000 abstract description 2
- 230000035602 clotting Effects 0.000 abstract description 2
- 230000001953 sensory effect Effects 0.000 abstract 1
- 239000000523 sample Substances 0.000 description 219
- 208000035475 disorder Diseases 0.000 description 93
- 238000010801 machine learning Methods 0.000 description 44
- 230000008569 process Effects 0.000 description 44
- 238000004458 analytical method Methods 0.000 description 36
- 238000012545 processing Methods 0.000 description 31
- 206010003658 Atrial Fibrillation Diseases 0.000 description 25
- 201000010099 disease Diseases 0.000 description 23
- 230000006870 function Effects 0.000 description 21
- 210000003492 pulmonary vein Anatomy 0.000 description 18
- 238000004422 calculation algorithm Methods 0.000 description 17
- 230000013016 learning Effects 0.000 description 17
- 238000013507 mapping Methods 0.000 description 17
- 238000001125 extrusion Methods 0.000 description 15
- 238000002591 computed tomography Methods 0.000 description 14
- 238000010586 diagram Methods 0.000 description 13
- 230000015654 memory Effects 0.000 description 12
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 12
- 230000003595 spectral effect Effects 0.000 description 12
- 230000036541 health Effects 0.000 description 11
- 238000005457 optimization Methods 0.000 description 11
- 238000002595 magnetic resonance imaging Methods 0.000 description 10
- 239000007787 solid Substances 0.000 description 10
- 230000002068 genetic effect Effects 0.000 description 9
- 239000012212 insulator Substances 0.000 description 9
- 238000003860 storage Methods 0.000 description 9
- 238000012549 training Methods 0.000 description 9
- 238000013459 approach Methods 0.000 description 8
- 238000003384 imaging method Methods 0.000 description 8
- 229910001092 metal group alloy Inorganic materials 0.000 description 8
- 206010019280 Heart failures Diseases 0.000 description 7
- 238000013528 artificial neural network Methods 0.000 description 7
- 230000008901 benefit Effects 0.000 description 7
- 210000004556 brain Anatomy 0.000 description 7
- 239000003814 drug Substances 0.000 description 7
- 238000011010 flushing procedure Methods 0.000 description 7
- 230000002093 peripheral effect Effects 0.000 description 7
- 239000000126 substance Substances 0.000 description 7
- 230000009466 transformation Effects 0.000 description 7
- 230000002861 ventricular Effects 0.000 description 7
- 238000004891 communication Methods 0.000 description 6
- 229940079593 drug Drugs 0.000 description 6
- 230000008030 elimination Effects 0.000 description 6
- 238000003379 elimination reaction Methods 0.000 description 6
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 6
- 229910052737 gold Inorganic materials 0.000 description 6
- 239000010931 gold Substances 0.000 description 6
- 210000005036 nerve Anatomy 0.000 description 6
- 229910052697 platinum Inorganic materials 0.000 description 6
- 238000009877 rendering Methods 0.000 description 6
- 230000029058 respiratory gaseous exchange Effects 0.000 description 6
- 239000000243 solution Substances 0.000 description 6
- 239000000758 substrate Substances 0.000 description 6
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 5
- 230000005856 abnormality Effects 0.000 description 5
- 229910045601 alloy Inorganic materials 0.000 description 5
- 239000000956 alloy Substances 0.000 description 5
- 230000001746 atrial effect Effects 0.000 description 5
- 230000008859 change Effects 0.000 description 5
- 210000000038 chest Anatomy 0.000 description 5
- 238000004590 computer program Methods 0.000 description 5
- 238000012790 confirmation Methods 0.000 description 5
- 229910052802 copper Inorganic materials 0.000 description 5
- 239000010949 copper Substances 0.000 description 5
- 230000006378 damage Effects 0.000 description 5
- 230000007423 decrease Effects 0.000 description 5
- 150000002739 metals Chemical class 0.000 description 5
- 239000000203 mixture Substances 0.000 description 5
- 238000007781 pre-processing Methods 0.000 description 5
- 230000002123 temporal effect Effects 0.000 description 5
- 230000002792 vascular Effects 0.000 description 5
- 206010010904 Convulsion Diseases 0.000 description 4
- 230000009471 action Effects 0.000 description 4
- 238000004364 calculation method Methods 0.000 description 4
- 230000001413 cellular effect Effects 0.000 description 4
- 238000013145 classification model Methods 0.000 description 4
- 238000001514 detection method Methods 0.000 description 4
- 238000003745 diagnosis Methods 0.000 description 4
- 238000002651 drug therapy Methods 0.000 description 4
- 238000000537 electroencephalography Methods 0.000 description 4
- 238000000605 extraction Methods 0.000 description 4
- 238000005259 measurement Methods 0.000 description 4
- 238000011338 personalized therapy Methods 0.000 description 4
- 230000002829 reductive effect Effects 0.000 description 4
- 230000002787 reinforcement Effects 0.000 description 4
- 206010047302 ventricular tachycardia Diseases 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 210000003484 anatomy Anatomy 0.000 description 3
- 238000003491 array Methods 0.000 description 3
- 238000013473 artificial intelligence Methods 0.000 description 3
- 230000003542 behavioural effect Effects 0.000 description 3
- 239000003795 chemical substances by application Substances 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 230000009977 dual effect Effects 0.000 description 3
- 230000001037 epileptic effect Effects 0.000 description 3
- 230000001815 facial effect Effects 0.000 description 3
- 230000000004 hemodynamic effect Effects 0.000 description 3
- 230000006872 improvement Effects 0.000 description 3
- 230000001788 irregular Effects 0.000 description 3
- 238000002955 isolation Methods 0.000 description 3
- 230000003902 lesion Effects 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 230000007774 longterm Effects 0.000 description 3
- 230000014759 maintenance of location Effects 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 230000007935 neutral effect Effects 0.000 description 3
- 238000006213 oxygenation reaction Methods 0.000 description 3
- 238000013186 photoplethysmography Methods 0.000 description 3
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 3
- 239000004810 polytetrafluoroethylene Substances 0.000 description 3
- 230000001020 rhythmical effect Effects 0.000 description 3
- 210000005245 right atrium Anatomy 0.000 description 3
- 231100000241 scar Toxicity 0.000 description 3
- 230000037390 scarring Effects 0.000 description 3
- 239000011780 sodium chloride Substances 0.000 description 3
- 238000010183 spectrum analysis Methods 0.000 description 3
- 238000009168 stem cell therapy Methods 0.000 description 3
- 210000000779 thoracic wall Anatomy 0.000 description 3
- 239000013598 vector Substances 0.000 description 3
- 206010003662 Atrial flutter Diseases 0.000 description 2
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 241001465754 Metazoa Species 0.000 description 2
- 229920002614 Polyether block amide Polymers 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 230000002238 attenuated effect Effects 0.000 description 2
- 239000000090 biomarker Substances 0.000 description 2
- 229910052793 cadmium Inorganic materials 0.000 description 2
- 230000000739 chaotic effect Effects 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 238000007621 cluster analysis Methods 0.000 description 2
- 230000001143 conditioned effect Effects 0.000 description 2
- 238000013527 convolutional neural network Methods 0.000 description 2
- 208000029078 coronary artery disease Diseases 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 238000003066 decision tree Methods 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- 239000012636 effector Substances 0.000 description 2
- 238000002565 electrocardiography Methods 0.000 description 2
- 238000002567 electromyography Methods 0.000 description 2
- 238000013210 evaluation model Methods 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 210000001105 femoral artery Anatomy 0.000 description 2
- 210000003191 femoral vein Anatomy 0.000 description 2
- 238000010304 firing Methods 0.000 description 2
- 230000005021 gait Effects 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 230000004217 heart function Effects 0.000 description 2
- 230000001976 improved effect Effects 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 230000000977 initiatory effect Effects 0.000 description 2
- 239000011810 insulating material Substances 0.000 description 2
- 208000002551 irritable bowel syndrome Diseases 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 210000005240 left ventricle Anatomy 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 229910052758 niobium Inorganic materials 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 230000010355 oscillation Effects 0.000 description 2
- 230000007170 pathology Effects 0.000 description 2
- 230000001991 pathophysiological effect Effects 0.000 description 2
- 230000000737 periodic effect Effects 0.000 description 2
- 238000005086 pumping Methods 0.000 description 2
- 210000005241 right ventricle Anatomy 0.000 description 2
- 210000004761 scalp Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000004243 sweat Anatomy 0.000 description 2
- 210000002435 tendon Anatomy 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 238000013526 transfer learning Methods 0.000 description 2
- 238000000844 transformation Methods 0.000 description 2
- 238000013519 translation Methods 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 208000003663 ventricular fibrillation Diseases 0.000 description 2
- 241000238876 Acari Species 0.000 description 1
- 208000010444 Acidosis Diseases 0.000 description 1
- 208000007848 Alcoholism Diseases 0.000 description 1
- 229910018167 Al—Be Inorganic materials 0.000 description 1
- 229910018507 Al—Ni Inorganic materials 0.000 description 1
- 238000012935 Averaging Methods 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 229910000730 Beta brass Inorganic materials 0.000 description 1
- 229910001040 Beta-titanium Inorganic materials 0.000 description 1
- 208000031229 Cardiomyopathies Diseases 0.000 description 1
- 206010008531 Chills Diseases 0.000 description 1
- 206010053398 Clonic convulsion Diseases 0.000 description 1
- 229910001006 Constantan Inorganic materials 0.000 description 1
- 206010011703 Cyanosis Diseases 0.000 description 1
- 206010013700 Drug hypersensitivity Diseases 0.000 description 1
- 206010015856 Extrasystoles Diseases 0.000 description 1
- 206010016654 Fibrosis Diseases 0.000 description 1
- 208000018522 Gastrointestinal disease Diseases 0.000 description 1
- 206010067715 Gastrointestinal sounds abnormal Diseases 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 206010020853 Hypertonic bladder Diseases 0.000 description 1
- 208000001953 Hypotension Diseases 0.000 description 1
- 208000019693 Lung disease Diseases 0.000 description 1
- 208000001145 Metabolic Syndrome Diseases 0.000 description 1
- 229910018643 Mn—Si Inorganic materials 0.000 description 1
- 208000034702 Multiple pregnancies Diseases 0.000 description 1
- 208000012902 Nervous system disease Diseases 0.000 description 1
- 208000025966 Neurological disease Diseases 0.000 description 1
- 239000004962 Polyamide-imide Substances 0.000 description 1
- 239000004642 Polyimide Substances 0.000 description 1
- -1 Polytetrafluoroethylene Polymers 0.000 description 1
- 208000000418 Premature Cardiac Complexes Diseases 0.000 description 1
- 208000037656 Respiratory Sounds Diseases 0.000 description 1
- 230000005678 Seebeck effect Effects 0.000 description 1
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 1
- 206010043994 Tonic convulsion Diseases 0.000 description 1
- 229910007570 Zn-Al Inorganic materials 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 201000000690 abdominal obesity-metabolic syndrome Diseases 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 238000011298 ablation treatment Methods 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000007950 acidosis Effects 0.000 description 1
- 208000026545 acidosis disease Diseases 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 230000002776 aggregation Effects 0.000 description 1
- 238000004220 aggregation Methods 0.000 description 1
- 206010001584 alcohol abuse Diseases 0.000 description 1
- 208000025746 alcohol use disease Diseases 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 208000007502 anemia Diseases 0.000 description 1
- 230000002763 arrhythmic effect Effects 0.000 description 1
- 230000035045 associative learning Effects 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 206010003668 atrial tachycardia Diseases 0.000 description 1
- 238000002555 auscultation Methods 0.000 description 1
- 230000002567 autonomic effect Effects 0.000 description 1
- 210000003403 autonomic nervous system Anatomy 0.000 description 1
- 230000031018 biological processes and functions Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000023555 blood coagulation Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000007177 brain activity Effects 0.000 description 1
- 239000003990 capacitor Substances 0.000 description 1
- 150000003943 catecholamines Chemical class 0.000 description 1
- 210000003169 central nervous system Anatomy 0.000 description 1
- 238000007635 classification algorithm Methods 0.000 description 1
- 238000010073 coating (rubber) Methods 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 230000003750 conditioning effect Effects 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 238000010219 correlation analysis Methods 0.000 description 1
- 238000013500 data storage Methods 0.000 description 1
- 238000006392 deoxygenation reaction Methods 0.000 description 1
- 206010012601 diabetes mellitus Diseases 0.000 description 1
- 238000002059 diagnostic imaging Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 230000005489 elastic deformation Effects 0.000 description 1
- 239000007772 electrode material Substances 0.000 description 1
- 239000008151 electrolyte solution Substances 0.000 description 1
- 238000004520 electroporation Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 230000002600 fibrillogenic effect Effects 0.000 description 1
- 230000004761 fibrosis Effects 0.000 description 1
- 229920002313 fluoropolymer Polymers 0.000 description 1
- 239000004811 fluoropolymer Substances 0.000 description 1
- 230000004907 flux Effects 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000001415 gene therapy Methods 0.000 description 1
- 238000002695 general anesthesia Methods 0.000 description 1
- 230000007274 generation of a signal involved in cell-cell signaling Effects 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 230000036449 good health Effects 0.000 description 1
- 210000004013 groin Anatomy 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- 230000036543 hypotension Effects 0.000 description 1
- 238000010191 image analysis Methods 0.000 description 1
- 238000002650 immunosuppressive therapy Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 229940113601 irrigation solution Drugs 0.000 description 1
- 238000012804 iterative process Methods 0.000 description 1
- 238000003698 laser cutting Methods 0.000 description 1
- 239000004973 liquid crystal related substance Substances 0.000 description 1
- 238000007477 logistic regression Methods 0.000 description 1
- 230000004199 lung function Effects 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 238000012067 mathematical method Methods 0.000 description 1
- 238000013160 medical therapy Methods 0.000 description 1
- 229910052750 molybdenum Inorganic materials 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000005404 monopole Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000000414 obstructive effect Effects 0.000 description 1
- 208000001797 obstructive sleep apnea Diseases 0.000 description 1
- 238000011369 optimal treatment Methods 0.000 description 1
- 210000004789 organ system Anatomy 0.000 description 1
- 210000003540 papillary muscle Anatomy 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 230000001717 pathogenic effect Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 210000000578 peripheral nerve Anatomy 0.000 description 1
- 210000001428 peripheral nervous system Anatomy 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 238000013439 planning Methods 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000002574 poison Substances 0.000 description 1
- 231100000614 poison Toxicity 0.000 description 1
- 229920002312 polyamide-imide Polymers 0.000 description 1
- 229920001721 polyimide Polymers 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000000644 propagated effect Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- 230000005180 public health Effects 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 238000002310 reflectometry Methods 0.000 description 1
- 230000034225 regulation of ventricular cardiomyocyte membrane depolarization Effects 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000036387 respiratory rate Effects 0.000 description 1
- 230000004256 retinal image Effects 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 238000007665 sagging Methods 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 230000006403 short-term memory Effects 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 230000000391 smoking effect Effects 0.000 description 1
- 210000002460 smooth muscle Anatomy 0.000 description 1
- 238000000638 solvent extraction Methods 0.000 description 1
- 238000012358 sourcing Methods 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 238000011301 standard therapy Methods 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 238000009580 stem-cell therapy Methods 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 230000000153 supplemental effect Effects 0.000 description 1
- 238000012706 support-vector machine Methods 0.000 description 1
- 230000008093 supporting effect Effects 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 210000002820 sympathetic nervous system Anatomy 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 229910052716 thallium Inorganic materials 0.000 description 1
- 229920001169 thermoplastic Polymers 0.000 description 1
- 239000004416 thermosoftening plastic Substances 0.000 description 1
- 230000001256 tonic effect Effects 0.000 description 1
- 238000012876 topography Methods 0.000 description 1
- 238000010361 transduction Methods 0.000 description 1
- 230000026683 transduction Effects 0.000 description 1
- 208000026533 urinary bladder disease Diseases 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 230000024883 vasodilation Effects 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/0016—Energy applicators arranged in a two- or three dimensional array
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00357—Endocardium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00702—Power or energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00744—Fluid flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00797—Temperature measured by multiple temperature sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1475—Electrodes retractable in or deployable from a housing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Plasma & Fusion (AREA)
- Medical Informatics (AREA)
- Otolaryngology (AREA)
- Physics & Mathematics (AREA)
- Cardiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US202163231669P | 2021-08-10 | 2021-08-10 | |
| US63/231,669 | 2021-08-10 | ||
| PCT/US2022/039873 WO2023018741A1 (fr) | 2021-08-10 | 2022-08-09 | Système de traitement avec cathéter de détection et d'ablation pour le traitement de troubles du rythme cardiaque |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN117835929A true CN117835929A (zh) | 2024-04-05 |
Family
ID=83271491
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202280055549.3A Pending CN117835929A (zh) | 2021-08-10 | 2022-08-09 | 用于心律紊乱的治疗的具有感测和消融导管的治疗系统 |
Country Status (7)
| Country | Link |
|---|---|
| US (1) | US20230049942A1 (fr) |
| EP (1) | EP4362835A1 (fr) |
| CN (1) | CN117835929A (fr) |
| CA (1) | CA3228548A1 (fr) |
| IL (1) | IL310572A (fr) |
| TW (1) | TW202320716A (fr) |
| WO (1) | WO2023018741A1 (fr) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112639990A (zh) | 2018-04-30 | 2021-04-09 | 小利兰·斯坦福大学托管委员会 | 用于使用个人数字表型维持健康的系统和方法 |
Family Cites Families (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5476495A (en) * | 1993-03-16 | 1995-12-19 | Ep Technologies, Inc. | Cardiac mapping and ablation systems |
| US7270661B2 (en) * | 1995-11-22 | 2007-09-18 | Arthocare Corporation | Electrosurgical apparatus and methods for treatment and removal of tissue |
| US5792140A (en) * | 1997-05-15 | 1998-08-11 | Irvine Biomedical, Inc. | Catheter having cooled multiple-needle electrode |
| DE60138319D1 (de) * | 2000-05-03 | 2009-05-20 | Bard Inc C R | Gerät zur Darstellung und Ablation bei elektrophysiologischen Verfahren |
| US20030204185A1 (en) * | 2002-04-26 | 2003-10-30 | Sherman Marshall L. | System and method for monitoring use of disposable catheters |
| US9713730B2 (en) * | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
| US8231614B2 (en) * | 2007-05-11 | 2012-07-31 | Tyco Healthcare Group Lp | Temperature monitoring return electrode |
| US10434319B2 (en) * | 2009-10-09 | 2019-10-08 | The Regents Of The University Of California | System and method of identifying sources associated with biological rhythm disorders |
| CA2860636A1 (fr) * | 2012-01-10 | 2013-07-18 | Boston Scientific Scimed, Inc. | Systeme d'electrophysiologie |
| US9095350B2 (en) * | 2012-05-01 | 2015-08-04 | Medtronic Ablation Frontiers Llc | Impedance detection of venous placement of multi-electrode catheters |
| JP6204483B2 (ja) * | 2012-11-02 | 2017-09-27 | べシックス・バスキュラー・インコーポレイテッド | バルーンアセンブリ |
| US9345540B2 (en) * | 2013-03-15 | 2016-05-24 | Medtronic Ablation Frontiers Llc | Contact specific RF therapy balloon |
| US20170156791A1 (en) * | 2015-12-08 | 2017-06-08 | Biosense Webster (Israel) Ltd. | Ablating and sensing electrodes |
| US20210045805A1 (en) * | 2019-08-15 | 2021-02-18 | Biosense Webster (Israel) Ltd. | Dynamic ablation and sensing according to contact of segmented electrodes |
| US20210077180A1 (en) * | 2019-09-12 | 2021-03-18 | Biosense Webster (Israel) Ltd. | Balloon Catheter with Force Sensor |
| US11701021B2 (en) * | 2019-10-10 | 2023-07-18 | Medtronic, Inc. | Lesion assessment using peak-to-peak impedance amplitude measurement |
-
2022
- 2022-08-09 WO PCT/US2022/039873 patent/WO2023018741A1/fr active Application Filing
- 2022-08-09 US US17/884,220 patent/US20230049942A1/en active Pending
- 2022-08-09 TW TW111129919A patent/TW202320716A/zh unknown
- 2022-08-09 CN CN202280055549.3A patent/CN117835929A/zh active Pending
- 2022-08-09 IL IL310572A patent/IL310572A/en unknown
- 2022-08-09 EP EP22768508.8A patent/EP4362835A1/fr active Pending
- 2022-08-09 CA CA3228548A patent/CA3228548A1/fr active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| CA3228548A1 (fr) | 2023-02-16 |
| US20230049942A1 (en) | 2023-02-16 |
| IL310572A (en) | 2024-03-01 |
| WO2023018741A1 (fr) | 2023-02-16 |
| EP4362835A1 (fr) | 2024-05-08 |
| TW202320716A (zh) | 2023-06-01 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| EP3928701B1 (fr) | Réduction du bruit des électrocardiogrammes intracardiaques à l'aide d'un auto-codeur et de fonctions de perte d'apprentissage profond | |
| US20210393187A1 (en) | Ventricular far field estimation using autoencoder | |
| US11564591B1 (en) | System and method for diagnosing and treating biological rhythm disorders | |
| JP2023517284A (ja) | 異常な生物学的リズムのターゲットへの方向をガイドし及びターゲットを治療するシステム及び方法 | |
| EP4008246A1 (fr) | Configuration d'une fenêtre d'intérêt automatique basée sur une analyse des données d'apprentissage | |
| US20230049942A1 (en) | Treatment system with sensing and ablation catheter for treatment of heart rhythm disorders | |
| EP3945333A1 (fr) | Identification automatique des zones de cicatrice dans un tissu organique utilisant de multiples modalités d'imagerie | |
| EP4008241A1 (fr) | Acquisition automatique de points de données électrophysiques utilisant le réglage automatique de critères de rejet de signal sur la base d'une analyse de données de grande taille | |
| EP3936070A1 (fr) | Estimation automatique de la contiguïté de points d'ablation circonférentielle étendus | |
| EP3944808A1 (fr) | Segmentation automatique de structures anatomiques de points d'ablation circonférentielle étendue | |
| US20220238203A1 (en) | Adaptive navigation and registration interface for medical imaging | |
| US20220181024A1 (en) | Catheter structure examination and optimization using medical procedure information | |
| US20220044787A1 (en) | Apparatus for treating cardiac arrhythmias utilizing a machine learning algorithm to optimize an ablation index calculation | |
| JP2022001256A (ja) | オートエンコーダを使用した心室遠距離場推定 | |
| CN118102994A (zh) | 心房纤颤患者的数字孪生 |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |